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May. 10. 20_13 1.1 : 54AM 2�ESTES EXPRESS STOCKTON rlccoY TRUCK Tr4E No. 6676 P. 2/6 e2ie5 <br /> v -� WORK ORDGp!MANIFEST <br /> o <br /> 1274877— <br /> ot67106 <br /> o s <br /> ��te Tlr�� Waste Tim oel3grator <br /> McCoy Truck Tire Servioe Center,Inc. Name; f�—s-rns t",�gFW <br /> 1407 Lone Palm Ave_ Address. <br /> Modesto,CA 95351 \ Clty: (� <br /> Slate., <br /> 20"21.8221 alp; q 6D.L5 Phone: GZ.rbgl) V1 <br /> TPID-1274877.01 TPID with Suffix: D Q <br /> LABd Dale: o 3 Load T Whole Cubic Yard Tort f I Pound <br /> Decal# - 3 Nck-up count: <br /> License g, state: not Code: RWDY ( ]Dellvery count: <br /> KRECULARTIME ( J OVERTIME ( J CALL OUT CUSTOMER PO#—<�41 I j J<Z <br /> FLAT REPAIRS WHEEL SWITCHES MTlDlsm-, <br /> -S-F-joi 9 SSfie, 64awr Dow r-- <br /> LICENSE N0. ?)�3 VEHICLE MAKE j'rL, MILEAGE VEHICLE NO G2�,5 J <br /> LOCATION: <br /> WORK PERFORMED; �riWt�,� - ( � MILEAGE IN <br /> MILEAQE OUT <br /> ��•L-��'' .� 1 _ •.f .--tom/_---� TOTAL- -- J <br /> TIME IN <br /> 77 <br /> TIME OUT I •�Q <br /> SIZE MFG. DOT,# - TREAD _ WHEEL COMMENTS <br /> z <br /> - 4 <br /> e <br /> Drivers Signature: Da Cuatomer SI n tura: A Date: <br /> Dr vers Nmmo ri A Customer Name •nt <br /> I 1s1m under p—tv of a Ins Iran ei CM N Or ae tloggWen I 00-24=0"h". <br /> p�y trNt unii�r ati r Q+!Irra of e �pmM <br /> provYlm amus i■we and anr00.In ed�lbn,I em Ir0 fdl ar b En rnev 100- 4 0 h truo and aanod'.1n`ea�nia+. an aNar•701460115rlbn et Ihh Ynlamatlon rtyy <br /> �n in mi�enelon revvcptla,a aenul Qf rMw.M of so�T1r■MauMr PA%b n rill dNl pen�Mk�up�a f25.Oh0 DN tley aer wlaibn arve D�n�1ee up m Sll,np0 <br /> W Vw F11EhE Rtria rs�Cade sooNn�42900 enA�+�r roeutt k,cMl�nelib6 r A00 pw key, Del�Adadon ror Owy cn Gq�errlpeE In W blc Rasoun:r+C.o"B00m G29C2. <br /> pv del flo�d�n�w,Mrs penelnea uD ro S4000 p,r vfbim r day ao n►ud <br /> W�u.m 290L [ ] Imported Load ( ]Exported Load and Locadon Hmulor Exemption Statum <br /> Address: [ J Govarnment <br /> L l LEA Exampt <br /> City State; ( ]Agricultural <br /> Common Canier <br /> Received Time May, 10. 2013 12 : 01PM No• 0632 <br />